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Practice Better Review 2026: Pros & Cons, Cost, & Who It’s Right For

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot

Author: Matthew Church, M.S.

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot

Matthew Church M.S.

Matt has 7+ years of mental health experience. As Mental Health Technology Editor, he’s spent the past two years testing online therapy platforms, EHRs, practice management tools, and more to help providers and clients make informed choices

See My Bio Editorial Policy
Headshot of Melissa Boudin, PsyD

Medical Reviewer: Melissa Boudin, PsyD Licensed medical reviewer

Headshot of Melissa Boudin, PsyD

Melissa Boudin PsyD

Dr. Boudin, a clinical psychologist with 15+ years experience, specializes in depression, anxiety, trauma, and grief, with additional focus on improving mental health access and resources.

See My Bio Editorial Policy
Published: January 23, 2026

ChoosingTherapy.com may earn commissions from the companies reviewed when you click links on this page. Learn more about our editorial standards, review process, and advertising policy.

  • Detailed ReviewDetailed Review
    • Client Records & IntakesClient Records & Intakes
    • Scheduling & Calendar ManagementScheduling & Calendar Management
    • Telehealth & Client Engagement Tools Telehealth & Client Engagement Tools
    • Clinical Documentation & Treatment PlanningClinical Documentation & Treatment Planning
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    • SimplePracticeSimplePractice
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    • TherapyNotesTherapyNotes
    • TherapyAppointmentTherapyAppointment
    • My Best PracticeMy Best Practice
    • Owl Practice SuiteOwl Practice Suite
  • History & NewsHistory & News
  • FAQSFAQS

I revisited Practice Better in 2026, testing it alongside other leading mental health EHR and practice management platforms to see what it continues to do well, where it can improve, and who it would be a good fit for. Practice Better continues to stand out as a highly flexible platform built around client engagement, workflow automation, and customization that can help complex clinical practices save time.

Practice Better is best suited to practices that blend therapy with coaching or group-based services. Instead of focusing only on notes and billing, it emphasizes tools like highly customizable intake packets, automated form delivery, client messaging, journaling and habit tracking. Pricing starts at $69 per month for the most practical plan, with insurance billing often adding to the cost, but with that you get significantly more flexibility than most traditional therapy EHRs.

For practices that care about client experience and wish to have ongoing engagement and offerings beyond their therapy sessions, Practice Better remains a strong option.

Practice Better At a Glance

Practice Better Logo
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)
  • Cost: Starts at $69 monthly (add-on costs vary)
  • Best for: Therapists and wellness practices that want strong client engagement tools and highly customizable workflows
Get started now!

Visit Practice Better

Pros & Cons of Practice Better

Pros Icon Pros
  • Clean, modern interface that’s intuitive and easy to navigate
  • Excellent client engagement tools, including shared journals, custom therapy and wellness programs, and secure messaging
  • Powerful automation tools and strong third-party integrations such as Apple Health, Fitbit, Fullscript, and Zapier.
  • Reliable built-in telehealth with support for group sessions
  • Works well for solo providers and scales well for multi-provider practices
Cons Icon Cons
  • Costs can increase quickly as add-ons and integrations are layered in
  • Electronic insurance claims require a paid third-party Claim.MD account
  • The feature set is geared more toward integrative or total wellness care models than strictly insurance-based therapy
  • Free trial requires a credit card

Preview Practice Better

Image of Practice Better dashboard
Image of Practice Better calendar
Image of Practice Better form and template builder
Image of Practice Better third party integrations
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Practice Better is a workflow-centric EHR built around flexibility and client engagement. Its biggest strengths are highly customizable intake forms, automation tools, and a client portal that supports ongoing interaction outside of sessions. Features like shared journals, structured programs and courses, protocols, and secure messaging allow clinicians to extend care beyond the appointment itself, while flexible documentation and scheduling tools adapt easily to different practice styles. Together, these tools make Practice Better especially appealing for clinicians who want their EHR to support engagement, organization, and continuity of care without rigid constraints.

Compared to more traditional, documentation-first EHRs, Practice Better places greater emphasis on customization and client-facing experiences. The interface is clean and intuitive, but the platform includes more moving parts than minimalist systems, particularly around forms, automations, and programs. Clinicians who prefer highly structured, session-guided documentation or intensive hands-on onboarding may prefer a more clinician-directed EHR. Those options are covered in our guide to the best mental health EHRs.

Detailed Review of Practice Better

Practice Better offers a flexible, workflow-driven EHR designed for modern healthcare and wellness practices, including therapists who value customization and client engagement. With pricing starting at $69 monthly for its most useful plan, with strong automation tools built in, Practice Better delivers strong features across intake, scheduling, documentation, and client communication.

Among the EHRs we’ve used, it stands out for its powerful form builder, flexible workflows, and ability to support both clinical and program-based care models (such as wellness courses or nutrition programs) within a single platform.

Practice Better earned 4.5 out of 5 stars
Overall rating of 4.5 out of 5 possible.
View Details
Detailed Scoring Breakdown
Rated 5 out of 5 possible for
Client Records & Data Management (5 out of 5)
Rated 5 out of 5 possible for
Scheduling & Calendar Management (5 out of 5)
Rated 5 out of 5 possible for
Intake & Assessment (5 out of 5)
Rated 4.5 out of 5 possible for
Telehealth & Client Engagement Tools (4.5 out of 5)
Rated 4.5 out of 5 possible for
Clinical Documentation & Treatment Planning (4.5 out of 5)
Rated 3.5 out of 5 possible for
Billing & Payments (RCM) (3.5 out of 5)
Rated 4 out of 5 possible for
Reporting & Administrative Tools (4 out of 5)
Rated 4 out of 5 possible for
Pricing, Value, & Transparency (4 out of 5)
Rated 4 out of 5 possible for
User Experience & Accessibility (4 out of 5)
Rated 5 out of 5 possible for
Integrations & Interoperability (5 out of 5)
Rated 4 out of 5 possible for
Support, Onboarding, & Training (4 out of 5)
Rated 5 out of 5 possible for
Security, Compliance, & Trust (5 out of 5)

Review our scoring criteria for EHRs, EMRs, and PMS for therapists.
Review our complete editorial policies here.

Client Records & Intakes

One of the first things that stands out while using Practice Better is how clean and intuitive the whole system feels, particularly when it comes to managing client records. It’s one of those systems where you don’t have to hunt through menus or click five layers deep to find what you’re looking for. Everything is exactly where you anticipate it to be, making navigation a breeze. From the client list to the calendar to individual charts, everything flows naturally; they’ve clearly put a lot of thought into what real-world practitioners actually need.

Image of Practice Better client list
Image of Practice Better client hubs
Image of Practice Better client search bar
Image of Practice Better client face sheet
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Practice Better includes a Client Hub view that acts like a floating mini-chart you can summon and keep with you anywhere in the system. It lets you pull up a client’s core details—demographics, history, notes, protocols, forms, and even lab results—without leaving the page you’re working on. You can drag it around your screen or keep multiple client hubs open at once. It sounds like a small thing, but it makes multitasking and documenting mid-session significantly easier than in most other EHRs I’ve tried.

There’s also a strong tagging system that helps keep client data organized over time. You can create custom tags (such as “Sliding Scale” or “A&D Group Participant”), assign colors to them, and then use those tags to sort, search, or trigger automations. It’s an efficient way to group clients without relying on rigid folders or constantly digging through advanced filters.

Another notable feature is the client journaling tool, which allows clients to log reflections, moods, symptoms, or prompted entries between sessions. Journals can remain private to the client or be shared with the provider, and entries are accessible directly from the client record. It’s a lightweight but effective way to track progress over time and maintain continuity of care without complicating documentation.

Altogether, Practice Better delivers a client records system that’s fast, flexible, and genuinely easy to work with day to day. It earned 5 out of 5 stars in the Client Records & Data Management category.

Scheduling & Calendar Management

The scheduling system in Practice Better is one of the better ones I’ve had the chance to work with. It’s drag-and-drop, highly customizable, and doesn’t make you feel like you’re juggling spreadsheets just to get through your day. You can set up multiple calendar views, create different appointment types, block time, and manage both individual and group sessions without it turning into a mess.

Image of Practice Better form and template builder
Image of Practice Better template library
Image of Practice Better template code unlock
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One of the most refreshing aspects is how non-intrusive the interface feels. You’re not constantly being kicked to new pages when you click something. Most actions happen in clean overlays and pop-ups, which means you can schedule or reschedule appointments without losing your place or closing other tabs. That sounds minor, but when you’re balancing back-to-back sessions and documentation, it genuinely reduces friction.

When creating an appointment, there’s a lot of flexibility built in. You can customize rates, assign service codes, leave internal notes or client-facing instructions, and decide whether sessions require manual confirmation or client self-confirmation. Buffer times between sessions are easy to set, and the calendar can also be used to track non-session tasks, admin time, or multi-week programs alongside standard appointments.

On the client side, the booking experience is just as thoughtful. Clients can schedule directly through the portal, request sessions outside of your set availability, or book through a widget embedded on your website. Behind the scenes, scheduling ties cleanly into Practice Better’s automation engine, allowing you to trigger reminders, forms, or follow-ups based on appointment activity with very little manual setup.

Considering all of this, Practice Better earned 5 out of 5 stars on the Calendar and Scheduling category of our scoring criteria.

Telehealth & Client Engagement Tools

Practice Better offers a flexible telehealth setup that works well for both solo clinicians and practices running groups. You can use its built-in video platform or integrate Zoom- either way, launching a session is fast and frictionless directly from the calendar or client portal.

The native telehealth experience itself is clean and professional, with essentials like screen sharing, in-session chat, file attachments, and background controls. Performance was solid during testing, with no noticeable lag or connectivity issues. One especially thoughtful touch is how easily you can access the floating Client Hub mid-session, allowing you to reference notes, treatment plans, or even start documentation without disrupting the call. That kind of multitasking support makes a real difference during busy days.

Image of Practice Better calendar
Image of Practice Better session booking flow
Image of Practice Better client booking request
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Where Practice Better really distinguishes itself, though, is in what happens outside the session. Secure client messaging, shared journals, and file exchange are all built directly into the platform, giving clinicians multiple low-friction ways to stay connected between appointments. Clients can log reflections, symptoms, or progress updates in journals, respond to prompts you assign, or message you securely without relying on email or third-party tools. For practices that emphasize continuity of care, this asynchronous engagement is a major strength.

Practice Better also supports practitioner-provided client programs, protocols, and educational resources that can be delivered and tracked within the portal, along with a customization tool for designing and laying out these programs. While these tools are especially popular among wellness and coaching practices, they can translate well to therapy settings that incorporate homework, psychoeducation, or group-based work. Together with automation triggers, these features allow engagement to continue without adding administrative overhead.

Practice Better earns 4.5 out of 5 stars in Telehealth & Client Engagement Tools.

Clinical Documentation & Treatment Planning

Practice Better strikes an impressive balance between flexibility and structure when it comes to clinical documentation. Whether you prefer highly structured templates or more freeform notes, the system adapts easily to your workflow instead of forcing you into a rigid documentation style. You can open a client chart and begin documenting immediately, straight from the face sheet or Client Hub, which makes it easy to capture details while they’re fresh.

The note builder itself mirrors Practice Better’s excellent form builder: drag-and-drop, clean, and highly customizable. You can add text fields, checkboxes, dropdowns, signatures, and more, and even modify the structure of a note while you’re actively writing it. That ability to build or adjust templates on the fly is a standout feature and makes documentation feel far less interruptive than in systems that require rigid prebuilt templates. For clinicians who prefer established frameworks, Practice Better includes prebuilt SOAP, BIRP, and similar formats that can be edited or expanded as needed.

Image of Practice Better progress note completion
Image of Practice Better note template editor
Image of Practice Better adding a Snippet
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Treatment planning is just as flexible. You can create reusable protocols for common goals or clinical approaches, then apply or adapt them across clients to save time while maintaining consistency. Notes, intake data, and previous documentation flow together intuitively, so you’re not constantly re-entering the same information or digging through old records to inform your plans. Everything stays organized within the client chart, which helps reduce cognitive load during documentation.

Practice Better has also introduced an optional AI Charting Assistant for clinicians looking to speed things up further. It can generate session summaries in real time during in-person or telehealth sessions, or create notes from dictated input. The first 600 minutes are included, with additional usage priced at $0.60 per hour. Importantly, this tool remains optional and editable, so clinicians maintain full control over their documentation rather than being boxed in.

Smaller workflow touches round out the experience nicely. Features like Snippets allow you to save and reuse commonly written phrases or sections, which is especially helpful for repetitive clinical language or standard disclosures.

Overall, Practice Better earns 4.5 out of 5 stars for Clinical Documentation & Treatment Planning. It offers powerful customization, strong integration between notes and treatment plans, and optional AI assistance, without sacrificing clinician autonomy or overall usability.

Billing & Payments (RCM)

Practice Better approaches billing and payments with flexibility in mind, but it’s not a fully self-contained RCM system in the way some EHRs are. Instead, it offers solid tools for both insurance-adjacent workflows and private-pay practices, with optional integrations filling in the gaps depending on how your practice operates.

For insurance billing, Practice Better relies on a third-party clearinghouse integration with Claim.MD rather than offering native claims submission. If you want to submit electronic claims (EDI), you’ll need a separate Claim.MD account, which starts around $30 per month plus per-claim fees, with unlimited plans also available (learn about the details in our full review of Claim.MD). Despite requiring an external account, you can still submit claims and track them within Practice Better, instead of being forced to rely on Claim.MD’s interface.

On the private-pay side, Practice Better is much stronger. The platform supports built-in payment processing as well as integrations with Stripe and Square, allowing clients to pay for sessions, packages, or programs directly through the portal. You can create one-off charges, recurring subscriptions, installment plans, or bundled packages, and automate receipts, reminders, and unpaid balance notifications. The client-facing payment experience is clean, mobile-friendly, and intuitive, which reduces friction and follow-up admin work.

What stands out most is how configurable everything feels. You’re rarely boxed into a single billing flow, which makes Practice Better especially appealing for practices that mix insurance, self-pay, group programs, or coaching-style offerings.

Taking all of this into account, Practice Better earns 3.5 out of 5 stars for Billing & Payments (RCM).

Reporting & Administrative Tools

Practice Better offers a strong and thoughtfully designed set of reporting and administrative tools that make it easy to understand what’s happening across your practice without feeling overwhelmed by data.

Inside the reporting dashboard, you can quickly pull insights on appointments, cancellations, packages and programs, payments, revenue, taxes collected, and transaction history. There are also reports for incomplete notes, unsigned forms, client engagement with programs, and journal activity, which helps surface issues before they become administrative headaches.

On the administrative side, Practice Better does a good job supporting multi-user workflows. You can assign roles, limit access by permission level, and manage administrative users without much friction. Automations also play a role here—reminders, form delivery, payment triggers, and follow-ups can all be configured to reduce manual work and keep operations moving smoothly in the background.

Overall, Practice Better earns 4 out of 5 stars for Reporting & Administrative Tools. It delivers exactly what most practices need to stay organized, informed, and efficient, without overcomplicating the experience or burying users in unnecessary data.

Support, Onboarding, & Training

Practice Better takes a largely self-serve approach to onboarding and support, and for the most part, it works well. The platform is intuitive enough that many clinicians can get up and running without needing much hand-holding, and when guidance is needed, there’s a solid library of help articles, tutorials, and walkthroughs available.

The knowledge base is well-organized and searchable, covering everything from basic setup to more advanced features like automations, programs, and integrations. For clinicians who prefer to learn at their own pace—or who like experimenting and fine-tuning workflows over time—this setup feels flexible rather than restrictive. In my experience, most common questions are answered clearly without needing to submit a ticket.

When direct support is required, Practice Better primarily handles requests through email-based tickets rather than live chat or phone support. Response times are generally reasonable, but some users have reported slower follow-ups for more complex issues. There’s no dedicated account manager or white-glove onboarding unless you seek out additional training resources, which may be a drawback for practices that prefer high-touch support during setup.

That said, Practice Better’s combination of a user-friendly interface, strong documentation, and steadily improving training materials makes the overall experience reliable and approachable. For most solo providers and small teams, the support structure is more than sufficient, even if it lacks the immediacy of real-time assistance.

Taken together, Practice Better earns 4 out of 5 stars in the Support, Onboarding, & Training category.

Cost & Pricing

Practice Better offers several pricing tiers designed to support a wide range of health and wellness practices. While all plans include core scheduling, documentation, and client portal features, the differences between tiers primarily regard client engagement tools, automation, and features for group practices. Most clinicians will likely favor the Starter or Professional plans, depending on caseload size and feature needs.

Sprout Plan – Free

Best for: Students, recent graduates, or clinicians testing the platform with a very small caseload.

Practice Better’s Sprout plan is a free, entry-level tier intended for early-stage clinicians. It allows you to try out Practice Better’s core features with up to 3 clients for as long as you like.

While Sprout includes core scheduling, documentation, and client portal functionality, because of restrictions on some advanced features and the 3 client cap, most clinicians will outgrow this plan quickly once they begin seeing clients consistently.

That said, Sprout can be a useful way to get familiar with Practice Better’s interface and workflow before committing to a paid plan, especially for students or clinicians preparing to launch a practice.

Starter Plan – $35 monthly

Best for: Very small practices, side-hustle clinicians, or those just starting out.

The Starter plan increases capacity to up to 10 clients and adds essentials like mobile apps, a client portal, and built-in telehealth.

For clinicians with a small, steady caseload, Starter can cover the basics. However, its client cap and limited collaboration tools mean it’s best suited for early-stage or low-volume practices rather than full-time providers.

Professional Plan – $69 monthly

Best for: Full-time solo providers ready to add group sessions and scale comfortably.

For many clinicians, Professional is the best-value plan. It supports up to 300 clients and unlocks many of the workflow tools that make Practice Better appealing in day-to-day use, including group scheduling and telehealth, client messaging, and other integrations.

This plan offers a strong balance between flexibility and cost, making it a solid choice for full-time solo providers or part-time group practices that don’t yet need advanced branding or automation features.

Plus Plan – $99 monthly

Best for: Established practices that want deeper automation and all client engagement features.

The Plus plan removes client limits entirely and adds more advanced workflow and branding tools. This includes customizable branding, snippets and advanced automations, and monthly credits for text reminders and faxing.

The Plus plan also introduces admin users, making it better suited for practices with shared administrative responsibilities or more complex internal workflows.

Team Plan – $155 monthly (includes 2 practitioners)

Best for: Group practices or multi-provider clinic

The Team plan is designed specifically for collaborative practices. It includes everything in Plus with two provider accounts included, along with team-based roles and permissions, shared templates and programs, centralized billing and reporting, and unlimited admin accounts.

Additional practitioners cost $50 per month each, with volume discounts available for larger teams.

Add-Ons & Extras

Practice Better offers several optional add-ons to customize your setup:

  • Insurance Billing: Insurance billing relies on integration with Claim.MD. Learn more about the cost of this external subscription in our full Claim.MD review.
  • Additional Practitioners: $50/month per user (requires Team plan)
  • Admin Users: $10/month/user on Plus plan (included on Team plan)
  • Additional Storage: $1 per GB per month
  • AI Charting Assistant: First 600 minutes free, then $0.60 per hour (available on all plans)
  • Faxing: $0.10 per page (Plus plan includes 150 pages per month)
  • Text Reminders: $0.05 per text (Plus plan includes 750 free texts per month)
  • API Access: Free (requires requesting access; recommended for users with engineering support)

What Practice Better Costs in Real-World Scenarios

For a solo practice offering both in-person and telehealth sessions that is only cash-pay, the total cost typically lands at $69 per month on Practice Better’s Professional plan. That tier supports up to 300 clients, includes telehealth, client messaging, and group scheduling, and does not require upgrading just to unlock core features. For most solo clinicians, this plan provides more than enough capacity and tends to hold up well long-term.

If that same solo practice starts billing insurance, total costs increase more noticeably because insurance billing requires a separate Claim.MD subscription. At around 30–40 insurance sessions per month, total monthly software costs usually end up closer to $110–$130, depending on the Claim.MD plan used.

At that point, Practice Better is typically more expensive than EHRs that run insurance directly through their platform, but the higher cost reflects its emphasis on client engagement, programs, and group workflows rather than streamlined insurance billing. For practices that rely heavily on insurance reimbursement, this tradeoff is worth weighing carefully. Learn more about exact insurance billing costs in our full review of Claim.MD.

User Reviews

Across major user review platforms, Practice Better receives consistently positive feedback, especially from solo providers and small practices looking for an all-in-one system. Users frequently praise its automation tools, customizable workflows, and strong client engagement features, along with responsive support during onboarding and setup. Criticism tends to focus on a learning curve for new users, occasional usability friction, and pricing concerns for very small or early-stage practices.

Capterra | 4.8 out of 5 Stars | ~93 reviews

Positive reviews on Capterra consistently emphasize the convenience of having core tools in one place without needing multiple separate systems. Reviewers also frequently mention strong educational resources and onboarding support, including help articles and videos that make it easier to learn the platform’s broader feature set. Several long-term users note that Practice Better has become more valuable over time as they adopt more features, particularly around programs, templates, accountability tools, and client communication.

Critical feedback is less common but tends to cluster around a few themes. Some reviewers describe pricing as a challenge for very small or solo practices, especially as costs increase through higher-tier plans or add-ons. A smaller number of critical reviews describe workflow friction in specific areas (such as client management edge cases or support responsiveness during troubleshooting), and a few mention missing features they’d like to see, such as gift certificates or smoother client-facing experiences in certain scenarios. These concerns appear to be mostly situational rather than universal, but they are worth noting for practices that are cost-sensitive or have very particular workflow needs.

Read More

G2 | 4.7 out of 5 stars | ~284 reviews

Positive reviews on G2 consistently describe Practice Better as a robust all-in-one platform that helps practices consolidate scheduling, billing, charting, client communication, and programs in one place. Reviewers frequently emphasize time savings from automations and reusable templates, along with strong client engagement tools like secure messaging, journals, and the client portal. Integrations also come up often—users mention connecting Practice Better with tools they already rely on (such as Google Calendar, Zoom, Claim.MD, and wellness-specific integrations), which helps reduce duplicate work and keep workflows centralized.

Critical reviews on G2 tend to focus less on reliability and more on usability and fit. A recurring theme is a somewhat steep learning curve, with some users describing the platform as overwhelming at first and noting that setup can be time-consuming without spending time in tutorials or onboarding resources (I can confirm from my use it isn’t as easy to set up as some others). Other critiques include limited website-building capabilities, mixed feelings about the platform’s aesthetics, and feature gaps for certain clinical workflows—especially for therapy-forward needs like more advanced assessments, deeper progress tracking, or e-prescribing. A smaller set of reviews also mention pricing increases or cost as a challenge for newer or very small practices, even when they otherwise like the platform.

Read More

Alternatives & Competitors

While Practice Better offers a distinctive mix of client engagement tools, automation, and program-based care, it isn’t the right fit for every mental health practice. Providers who prioritize traditional therapy workflows, direct insurance billing, or a simpler, lower-cost setup may find a better match elsewhere. Below is a brief look at how Practice Better compares to several popular alternatives.

SimplePractice

SimplePractice Logo
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)

Cost: $49–$99+ monthly
Compared to Practice Better: More therapy-native with built-in insurance billing, but less flexible for client engagement, programs, or automation-heavy workflows.

SimplePractice remains one of the most widely used EHRs for mental health providers and delivers an exceptional experience. It offers strong telehealth tools, built-in insurance billing, and a clean client portal that works well for traditional private practices. Compared to Practice Better, SimplePractice feels more “plug-and-play” for standard therapy workflows, but offers far fewer options for ongoing client engagement like journaling, habit tracking, or custom client programs. SimplePractice costs can also climb quickly as add-ons are layered in, but will likely still remain lower overall than Practice Better.

Head over to my full breakdown of what SimplePractice offers for more details.

Pros & Cons

Click here to expand and minimize this container.
Pros Icon Pros
  • Clean, modern interface that’s easy to learn
  • Strong insurance billing tools for solo clinicians
  • Excellent scheduling, reminders, and calendar tools
  • Mobile apps for both clinicians and clients
  • All plans include their website builder and directory listing
Cons Icon Cons
  • More expensive than some competitors once add-ons and insurance billing fees are factored in
  • Not as flexible or customizable for large, complex practices
  • Not very useful for prescribers or MDs
7-day Free Trial and 50% Off For 4 Months

Visit SimplePractice

See full Review

Jane

Jane logo
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)

Cost: $54–$99+ monthly
Compared to Practice Better: Better suited for large, in-person or multidisciplinary clinics, while Practice Better excels at client engagement, automation, and program-based care.

Jane is best suited to larger, multidisciplinary, or in-person clinics that need robust scheduling, charting, and front-desk workflows. While Practice Better shines in virtual care, automation, and client-facing programs, Jane excels at handling complex calendars, shared resources, and clinic-wide operations. For solo providers or wellness-focused practices, Jane can feel heavier than necessary, but for growing clinics, it’s often a strong fit.

Visit our full review of Jane for more details.

Pros & Cons

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Pros Icon Pros
  • Excellent form and template customization
  • Extensive shared template library
  • Strong scheduling tools for solo and group practices
  • Comprehensive, highly rated customer support
Cons Icon Cons
  • Treatment plans are very limited
  • Secure messaging still in beta
  • No free trial
  • Pricier than some solo-focused platforms
1 Month Free with Code: CHOOSINGTHERAPY

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TherapyNotes

TherapyNotes logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cost: $69–$79+ monthly
Compared to Practice Better: Stronger for insurance-heavy practices and structured documentation, but far more rigid and limited in customization and client engagement tools.

TherapyNotes is a go-to option for insurance-heavy practices that value structure, compliance, and billing automation. Its documentation tools are highly standardized, making it a reliable choice for regulated workflows. That same rigidity, however, leaves little room for creative client engagement, flexible programs, or automation beyond traditional therapy use cases. Compared to Practice Better, it’s a touch more conservative but also more predictable for insurance-first practices.

Take a peek at my full review of TherapyNotes to learn more.

Pros & Cons

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Pros Icon Pros
  • Simple and easy to use interface
  • Easy to learn and quick to get started
  • Supports e-prescriptions
Cons Icon Cons
  • No mobile app available
  • Fewer automation features than some competitors
  • Limited reporting capability
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TherapyAppointment

therapyappointment logo
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)

Cost: $10–$59+ monthly
Compared to Practice Better: More affordable for basic therapy workflows, but lacks the visual polish, automation depth, and engagement features that define Practice Better.

TherapyAppointment is one of the most budget-friendly options available and works well for small practices or therapists just starting out. It covers the basics at a lower cost than most competitors. Compared to Practice Better, it lacks a bit of refinement, automation depth, and modern client engagement tools. TherapyAppointment is a simpler tool to use overall, but at a far lower cost than Practice Better.

Read our full TherapyAppointment review for additional details.

Pros & Cons

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Pros Icon Pros
  • Pricing is based on client volume and doesn’t restrict features
  • Automated insurance claims
  • Automated client intakes and client self-scheduling
  • Very affordable compared to alternatives
Cons Icon Cons
  • Free trial requires credit card
  • Few options for customizing treatment plan and note templates
  • Telehealth platform requires extra fee
  • Doesn’t support electronic prescriptions
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My Best Practice - Great for Quick, Flexible Notes

Rating:
Overall rating of 5 out of 5 possible.
(5 out of 5)

Cost: $59+ monthly
Compared to Practice Better: More structured for traditional therapy workflows, while Practice Better offers greater flexibility, automation, and client-facing tools.

My Best Practice is designed around efficient documentation, assessments, and reporting. It’s especially well suited to solo and small group therapy practices that want strong structure without unnecessary extras. Compared to Practice Better, it offers fewer modern engagement tools like journaling or automation, but costs are typically more agreeable.

Visit our full review of My Best Practice for more insight.

Pros & Cons

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Pros Icon Pros
  • Session notes promote quick workflow
  • Large library of customizable assessments and forms
  • Impressive reporting and analytics options
  • Electronic prescription functionality
Cons Icon Cons
  • Telehealth and electronic prescriptions incur extra fees
  • Billing is less innovative than certain competitors
  • Some fees are hidden, or difficult to find
  • Lackluster telehealth platform
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Owl Practice Suite

Owl Practice Suite logo
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)

Cost: $25–$49+ monthly
Compared to Practice Better: More traditional and clinician-first, with strong intake, but fewer options for programs, coaching-style workflows, or client engagement.

Owl Practice Suite is a strong alternative for clinicians who want a more traditional, interface without sacrificing modern usability. It offers solid intake, note-taking, and telehealth tools, along with built-in client acquisition through Zencare. Compared to Practice Better, Owl is less flexible for wellness programs or coaching-style workflows, but it’s a compelling option for straightforward therapy practices.

Learn more in our full review of Owl Practice Suite.

Pros & Cons

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Pros Icon Pros
  • All-in-one therapy EHR with built-in client acquisition (Zencare)
  • Strong out-of-network (OON) tools: benefits checks, cost estimates, courtesy claims
  • Flexible form/note/template builders with dynamic client fields
Cons Icon Cons
  • Measures library is curated—no custom scales
  • E-prescribing not included
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Why You Can Trust My Review

“I personally spent time using Practice Better, exploring its full suite of features during a hands-on trial. This review wasn’t built from marketing materials or secondhand impressions, it’s based on firsthand experience navigating the platform the way a real provider would: setting up clients, building forms and notes, testing the telehealth system, and running through everyday workflows from intake to billing.

I also cross-referenced feedback from verified users, evaluated the platform against our established EHR scoring criteria, and compared it directly to other major systems we’ve reviewed. In the process, it became clear that Practice Better is best suited for providers who want more than just a place to store notes. It’s built for those looking to actively engage clients, build programs and courses, automate repetitive tasks, and grow their practice with modern, flexible tools.”

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot Matthew Church, M.S.

History & News

Practice Better Logo
  • Year Founded: 2016
  • Founders: Nathalie Garcia
  • Headquarters: Toronto, Ontario, Canada

Practice Better was founded in 2016 by Nathalie Garcia, who originally built the platform to solve a gap she experienced firsthand in her nutrition practice. Frustrated by the lack of sustainable, client-centered tools available, she set out to create a system that could support both practitioners and their clients more holistically. Since then, Practice Better has grown into a comprehensive practice management platform used by over 15,000 health and wellness professionals in more than 70 countries—supporting over a million clients globally.6

In April 2023, the company secured a $27 million growth investment led by Five Elms Capital to expand its integrations, build strategic partnerships, and further develop features that help providers streamline their work and scale their practices. The following month, Kim Walsh—formerly an executive at HubSpot—was named CEO, with Garcia transitioning into the role of Chief Strategy Officer.6

Most recently, in November 2024, Practice Better obtained a $13 million growth capital facility from CIBC Innovation Banking. The funding is intended to support the company’s continued expansion and accelerate innovation, especially in AI-powered features designed to support clinical efficiency and enhance the client experience.7

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Frequently Asked Questions

Is Practice Better HIPAA-Compliant?

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Yes, Practice Better states that it is compliant with HIPAA, as well as international privacy standards like PIPEDA (Canada) and GDPR (EU). This includes features like encrypted data storage, audit logs, role-based access, and secure client communication.4, 5

What Professionals Is Practice Better For?

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Practice Better is used by a wide range of health and wellness professionals, including licensed therapists, dietitians, nutritionists, coaches, naturopaths, herbalists, holistic physicians, and even energy healers. While it wasn’t originally built exclusively for mental health providers, it offers a large number of tools that work well for therapy-focused practices, including clinical charting, telehealth, scheduling, and client engagement features.4

Can You Bill Insurance with Practice Better?

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Yes, Practice Better integrates with Claim.MD, a clearinghouse that allows you to submit electronic claims. You can also generate superbills, CMS-1500 forms, and session invoices for clients.4

Does Practice Better offer a free plan?

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Yes, Practice Better offers a Sprout Plan that’s free to use indefinitely for up to three clients. It includes core features like notes, forms, scheduling, billing, and the client portal, but does not include telehealth, payments, or access to some integrations.2

Is Practice Better a good fit for group practices?

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Yes, the Team Plan supports multiple providers and includes tools for shared templates, role-based permissions, centralized billing, and even scaled pricing for high-volume users. The system can reportedly support groups of 100+ users.2

Sources Update History

ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Practice Better. (n.d.). Release notes. Retrieved from: https://Practice Better.releasenotes.io/

  • Practice Better. (n.d.). Pricing. Retrieved from: https://practicebetter.io/pricing

  • Practice Better. (n.d.). Templates. Retrieved from: https://practicebetter.io/templates

  • Practice Better. (n.d.). Help Center. Retrieved from: https://help.practicebetter.io/hc/en-us/

  • Practice Better. (September, 2024). Privacy & Security on Practice Better. Retrieved from: https://help.practicebetter.io/hc/en-us/articles/234814027-Privacy-and-Security-on-Practice-Better

  • Practice Better. (April, 2023). Practice Better Announces $27 Million Growth Investment to Transform How Wellness Professionals Empower Their Clients to Live Better. Retrieved from: https://practicebetter.io/blog/practice-better-announces-27-million-growth-investment-to-transform-how-wellness-professionals-empower-their-clients-to-live-better

  • Practice Better. (November, 2024). Practice Better Secures US$13 Million in Growth Capital from CIBC Innovation Banking to Accelerate Expansion of Holistic Health Solution. Retrieved from: https://practicebetter.io/blog/practice-better-secures-us-13-million-in-growth-capital-from-cibc-innovation-banking-to-accelerate-expansion-of-holistic-health-solution

  • Church, M. (2025). SimplePractice Review: Is It Right for Your Practice? Retrieved from: https://www.choosingtherapy.com/simplepractice-review/

  • Church, M. (2025). TherapyNotes Review: Pros & Cons, Cost, & Who It’s Right ForFor. Retrieved from: https://www.choosingtherapy.com/therapynotes-review/

  • Church, M. (2025). TherapyAppointment Review: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/therapyappointment-review/

  • Church, M. (2025). My Best Practice Review: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/my-best-practice-review/

  • Church, M. (2025). Best Mental Health EHRs: Top Picks for Therapists & Practices. Retrieved from: https://www.choosingtherapy.com/best-mental-health-ehr/

Show more Click here to open the article sources container.

We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

Update: January 23, 2026
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Entire article updated with fresh hands-on testing, revised pricing and insurance cost analysis, and structural improvements for clarity and readability. Refreshed user review insights, updated comparisons to alternatives, and refined the article to better reflect real-world practice workflows.
Update: August 7, 2025
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Added Jane as a company to consider in the Alternatives & Competitors section.
Update: July 11, 2025
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Updated Practice Better pricing throughout article. Monthly pricing increased across all plans, with rates shifting from $25–$145 monthly to $35–$155 monthly. The Starter, Pro, Plus, and Team plans each saw a $10 increase.
Original Publish Date: April 29, 2025
Author: Matthew Church, MS
Medical Reviewer: Melissa Boudin, PsyD
Show more Click here to open the article update history container.

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